Travis Gordon Hailstone, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OT013196 Issued in PA

Practice address

9065 S Pecos Rd Ste 190
Henderson, NV 89074-6605

Phone

(725) 485-2080

Fax

(855) 576-5067

NPI assigned

Jun 29, 2009

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Hailstone Family Practice PLLCGroup PAC ID 5092243238, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IHBHDD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hailstone Family Practice PLLC

  • Family Medicine Physician
  • Henderson, NV
  • NPI 1437967320
  Medicare reassignment Care Compare group NPD Authorized official
• George Med - Peds Associates PC

  dba Southern Nevada Internal Medicine Pediatrics

  • Internal Medicine Physician
  • Las Vegas, NV
  • NPI 1255452785
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1246233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738540800000",
    "number": "1215165238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9065 S PECOS RD STE 190",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890746605",
            "telephone_number": "725-485-2080",
            "fax_number": "855-576-5067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9065 S PECOS RD STE 190",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890746605",
            "telephone_number": "725-485-2080",
            "fax_number": "855-576-5067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAILSTONE",
        "first_name": "TRAVIS",
        "middle_name": "GORDON",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-29",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OT013196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Paul Hahn, D.D.S.
• Sterling Hahn, DO
• Courtney Haight, PH.D.
• Thomas Haile
• Hailstone Family Practice PLLC
• Edward Thomas Haines, ATC, LAT
• Hairston Nutrition Consulting PLLC
• Michael J Hairston Jr., RDN
• Rachel Elizabeth Hajda, PT, DPT
• Robin Hakakha

• Family Medicine Physician in Henderson, NV
• Providers in Henderson, NV by specialty
• Family Medicine Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.